SunKids Reference Form
The SunKids program at Center for Developing Kids requires enrolled children to stay with their group (up to 6 children) in an unfamiliar setting. Each group has one therapist and trained volunteers—however one on one support is not available. Participants rotate between activities such as gym play, crafts, music time, and exploratory play every 20-25 minutes. The schedule of the program is consistent but will be new to the child. In order to determine whether SunKids is a good match for this child, we consider insights from references. Please answer the following questions. We understand that the child might need assistance—we need this information to ensure we can provide the appropriate support. The more specific, the better!
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Email *
Child's name *
Name of person (reference) filling out this form *
Email address *
Phone number *
Your relationship to the child, ex. teacher, therapist, etc. *
How long have you known this child? *
How does this child function in a group setting with peers? *
How much assistance or support does this child need for the following activities? *
No support- they are independent
Minimal support
Moderate support
Maximum support
Transitioning between actitivities
Sharing space with peers
Wearing a mask
Tolerating environmental sounds
Accessing the bathroom
Maintaining safety on gym play equipment
Recovering from being upset
Have you witnessed this child engage in any unsafe behaviors? Some examples include hitting, pinching, falling to the floor, fleeing an activity space, etc. *
Is there anything else you'd like to share?
Thank you for your input!
- SunKids team at Center for Developing Kids.
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